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General NPI Number Information
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NPI Number | 1043623796
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Entity Type | Individual
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Provider Name | SHIRIN KOHANIM NP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1907 BORDER AVE
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City | TORRANCE
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State | CA
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Zip | 90501-3606
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Country | US
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Telephone | 844-443-6246
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Fax | 833-907-2235
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Provider Business Mailing Address
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Address Line | 19 SCHENCK AVE APT 2D
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City | GREAT NECK
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State | NY
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Zip | 11021-3613
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Country | US
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Telephone | 917-808-3196
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 685362
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F345171
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License Number State | NY
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